Healthcare Provider Details

I. General information

NPI: 1811800097
Provider Name (Legal Business Name): REJUVWORKS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 ALDINE RD
PARSIPPANY NJ
07054-3618
US

IV. Provider business mailing address

42 ALDINE RD
PARSIPPANY NJ
07054-3618
US

V. Phone/Fax

Practice location:
  • Phone: 201-736-7070
  • Fax:
Mailing address:
  • Phone: 201-736-7070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: PAUL S. ATTALLAH
Title or Position: CEO
Credential:
Phone: 201-736-7070